Individual provider Active NPI

Shanna Celeste Schmutte, AU.D.

  • Audiologist
  • Anderson, SC
National Provider Identifier
1356934889
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4170 Issued in SC
Practice address
106 Dostak Dr
Anderson, SC 29621-6606
Phone
(864) 226-2477
Fax
(864) 226-2478
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4170 SC Primary

Addresses

Primary practice location

106 Dostak Dr
Anderson, SC 29621-6606

Mailing address

106 Dostak Dr
Anderson, SC 29621-6606
Phone (864) 226-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002349 SC Practitioner - Qualified Audiologist 9638567720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Dostak Dr
Anderson, SC 29621-6606
Phone (864) 226-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4170SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson-Oconee Speech & Hearing Services CurrentSince Jul 16, 2021 Accepting new patients

Locations

106 Dostak Dr
Anderson, SC 29621
Phone (864) 226-2477

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1356934889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DOSTAK DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296216606",
            "telephone_number": "864-226-2477",
            "fax_number": "864-226-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DOSTAK DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296216606",
            "telephone_number": "864-226-2477",
            "fax_number": "864-226-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUTTE",
        "first_name": "SHANNA",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.